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Registration form for the DOORS Project
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Registration form for the DOORS Project

To enroll your child in the DOORS Project, simply fill in the form below. At the end, you will receive a copy of the registration form at your email address indicated.

Fields marked with * are mandatory

    *I, the undersigned

    *Fiscal Code

    *as ParentLegal Guardian

    *of  

    *gender MF

    *born on

    *in

    *Fiscal Code

    *Already enrolled the previous year in a workshop of the DOORS projectNot enrolled the previous year in a workshop of the DOORS project

    nationality

    mobile phone of the boy/girl (will be used only after communication with the guardian/parent to set dates and time of activities and for related communications)

    social media username of the boy/girl (only over 13 years old, under this age to enter parent user ID)

    email address of the boy/girl

    *parent/guardian phone

    *emergency phone

    *parent/guardian email

    CHIEDO DI ISCRIVERE MIO/A FIGLIO/A / IL MINORE DI CUI SONO TUTORE

    *(choose one of the two options)
    At the MaTeMù Youth Center and Art School and at the DOORS Project activitiesAt the DOORS Project activities at the school/space

    I am interested in allowing participation in those activities of the DOORS Project which, in case of need, should be carried out through distance learning and distant training methods.

    *In particular, I ask my son/daughter to enroll in the following activities (you can select more than one):
    ComicsDrumsBreak DanceSingingGuitarRapSax-Ensemble MusicSchool supportEnhancing the Italian language as a second language (L2)Meeting and creativity space

    *I am aware that - during normal opening hours - the Center does not take care of the minor and therefore my son / daughter can enter and leave independently.

    *I am aware that my child can be removed from the centre by operators if he does not comply with the regulation of the Center.

    *School/space name  

    *In particular, I ask my son/daughter to enroll in the following activities (you can select more than one):

    RapSinging

    Break DanceTheater

    RapBreak Dance

    TheaterSinging

    Music and SingingBreak Dance

    RapTheater

    Workshop 'Staying at school at the time of Covid'

    Pursuant to articles 6 and 9 of the Privacy Regulation and having read the information for the beneficiaries participating in the DOORS 2017-GEN-00414 project available at the link https://percorsiconibambini.it/doors/2019/11/20/privacy:

    AGREEDISCLAIM
    *The participation of the minor concerned in the Doors Project, in the terms and in the manner indicated in the information itself (consent required for participation), including evaluation activities by administering questionnaires.

    AGREEDISCLAIM
    *Upon contact, by the Funding Body of the DOORS project, CON I BAMBINI, by direct interview or questionnaire, to get feedback on the participation in the project (consent NOT required for participation purposes).

    AUTHORISENOT AUTHORISE
    *Il CIES Onlus Centro Informazione Educazione allo Sviluppo e/o le organizzazioni che agiscono per suo conto nell’ambito del progetto DOORS a effettuare riprese fotografiche o audiovisive ed eventuali registrazioni vocali o immagini fisse (ad. es screenshot), nell’ambito delle attività del progetto al quale il/la minore è iscritto/a e durante lo svolgimento di eventuali workshop, incontri di formazione e di orientamento, video colloqui e video incontri (consenso NON obbligatorio ai fini della partecipazione).

    AUTHORISENOT AUTHORISE
    *inoltre il CIES ad utilizzare le suddette immagini e registrazioni con l’intento di sostenere l’Organizzazione nella promozione delle proprie attività finalizzate a scopi educativi, sociali, di reportistica e di fundraising, ma mai a scopo di lucro, tramite supporti digitali e non, presenti e futuri e attraverso la loro pubblicazione e diffusione interna ed esterna (consenso NON obbligatorio ai fini della partecipazione).

    *Would you also be interested in learning about other CIES activities? YESNO

    *In accordance with art. 6 and 9 of the Privacy Regulation and having read the information from the CIES Onlus brought into view at the same time of registration and available at the link https://www.cies.it/privacy

    GIVE CONSENTDENY CONSENT

    to the processing of data for the purposes referred to in point 2.B) of the information itself (promotion, information, fundraising, newsletters, etc.).

    *I am aware that the personal data of the minor and my contact data (email, mobile phone, ''id'' of messaging programs, tracking of connection times, etc.) will be used in accordance with the information mentioned above and that for educational activities and distance learning will be used, in particular, the following platforms: Zoom, Skype, Google G Suite, Google Classroom, WhatsApp groups (only if necessary).

    *parent/guardian email

    CHIEDO DI ISCRIVERE MIO/A FIGLIO/A / IL MINORE DI CUI SONO TUTORE

    *(choose one of the two options)
    At the MaTeMù Youth Center and Art School and at the DOORS Project activitiesAt the DOORS Project activities at the school/space

    I am interested in allowing participation in those activities of the DOORS Project which, in case of need, should be carried out through distance learning and distant training methods.

    *In particular, I ask my son/daughter to enroll in the following activities (you can select more than one):
    ComicsDrumsBreak DanceSingingGuitarRapSax-Ensemble MusicSchool supportEnhancing the Italian language as a second language (L2)Meeting and creativity space

    *I am aware that - during normal opening hours - the Center does not take care of the minor and therefore my son / daughter can enter and leave independently.

    *I am aware that my child can be removed from the centre by operators if he does not comply with the regulation of the Center.

    *School/space name  

    *In particular, I ask my son/daughter to enroll in the following activities (you can select more than one):

    RapSinging

    Break DanceTheater

    RapBreak Dance

    TheaterSinging

    Music and SingingBreak Dance

    RapTheater

    Workshop 'Staying at school at the time of Covid'

    *I agree to participate under the same conditions as the previous year, including consents relating to re-contact, use of images, distance learning and newsletters.

    *Today’s date:

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